Evaluation of a collaborative photography workshop using the iPad 2 as an accessible technology for participants who are blind, visually impaired and sighted working collaboratively

A workshop using iPads to train photographers who are blind, visually impaired and sighted is evaluated using a model of inclusive technical capital. It was hypothesized that all participants would find iPad apps accessible. It was found that iPads were good introductory devices, but experienced participants who are blind and sighted still preferred specialized cameras

Evaluation of a collaborative photography workshop using the iPad 2 as an accessible technology for participants who are blind, visually impaired and sighted working collaboratively

A workshop using iPads to train photographers who are blind, visually impaired and sighted is evaluated using a model of inclusive technical capital. It was hypothesized that all participants would find iPad apps accessible. It was found that iPads were good introductory devices, but experienced participants who are blind and sighted still preferred specialized cameras

Carotenoid dietary intakes and plasma concentrations are associated with heel bone ultrasound attenuation and osteoporotic fracture risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk cohort

Carotenoids are found in abundance in fruit and vegetables, and may be involved in the positive association of these foods with bone health. This study aimed to explore the associations of dietary carotenoid intakes and plasma concentrations with bone density status and osteoporotic fracture risk in a European population. Cross-sectional analyses (n 14 803) of bone density status, using calcaneal broadband ultrasound attenuation (BUA) and longitudinal analyses (n 25 439) of fracture cases were conducted on data from the prospective European Prospective Investigation into Cancer and Nutrition-Norfolk cohort of middle-aged and older men and women. Health and lifestyle questionnaires were completed, and dietary nutrient intakes were derived from 7-d food diaries. Multiple regression demonstrated significant positive trends in BUA for women across quintiles of dietary α-carotene intake (P=0·029), β-carotene intake (P=0·003), β-cryptoxanthin intake (P=0·031), combined lutein and zeaxanthin intake (P=0·010) and lycopene intake (P=0·005). No significant trends across plasma carotenoid concentration quintiles were apparent (n 4570). The Prentice-weighted Cox regression showed no trends in fracture risk across dietary carotenoid intake quintiles (mean follow-up time 12·5 years), except for a lower risk for wrist fracture in women with higher lutein and zeaxanthin intake (P=0·022); nevertheless, inter-quintile differences in fracture risk were found for both sexes. Analysis of plasma carotenoid data (mean follow-up time 11·9 years) showed lower hip fracture risk in men across higher plasma α-carotene (P=0·026) and β-carotene (P=0·027) quintiles. This study provides novel evidence that dietary carotenoid intake is relevant to bone health in men and women, demonstrating that associations with bone density status and fracture risk exist for dietary intake of specific carotenoids and their plasma concentrations.The EPIC-Norfolk study received grants from the Medical Research Council (G9502233) and from Cancer Research UK (SP2024-0201 and SP2024-0204)

Reassessing China’s Higher Education Development: A Focus on Academic Culture

During the past three and a half decades, China has been progressing in higher education in a surprisingly dramatic manner, evidenced especially by scientific publications and sheer numbers of graduates. Such a fact has national, regional and global implications. China’s higher education development and its future directions are now placed highly on the research agendas of many from various parts of the world. Unlike the general acknowledgment of China’s achievements, assessment of the future development of China’s higher education is wide open to question. To some, Chinese universities are on a trajectory to become “world-class” and China’s high-fliers challenge Western supremacy. To others, China’s notion of “world-class” status has been largely imitative. Pumping resources into universities will only lead to diminishing returns as Chinese culture and practices will act as a brake to the pursuit of academic excellence. An increasing deal of attention has been paid to where China will be located in a global higher education landscape and in what shape. Based on the author’s long-standing professional observation and recent empirical studies, this article assesses China’s higher education development, with a particular focus on the challenges brought forward by academic culture. It interrogates China’s pride of the idea that Chinese universities are not willing to assume that Western models define excellence, and asks how far Chinese universities could move within their current development model.postprin

Chapter 15: Potential Surprises: Compound Extremes and Tipping Elements

The Earth system is made up of many components that interact in complex ways across a broad range of temporal and spatial scales. As a result of these interactions the behavior of the system cannot be predicted by looking at individual components in isolation. Negative feedbacks, or self-stabilizing cycles, within and between components of the Earth system can dampen changes (Ch. 2: Physical Drivers of Climate Change). However, their stabilizing effects render such feedbacks of less concern from a risk perspective than positive feedbacks, or self-reinforcing cycles. Positive feedbacks magnify both natural and anthropogenic changes. Some Earth system components, such as arctic sea ice and the polar ice sheets, may exhibit thresholds beyond which these self-reinforcing cycles can drive the component, or the entire system, into a radically different state. Although the probabilities of these state shifts may be difficult to assess, their consequences could be high, potentially exceeding anything anticipated by climate model projections for the coming century

Climate, extreme heat, and electricity demand in California

Climate projections from three atmosphere-ocean climate models with a range of low to mid-high temperature sensitivity forced by the Intergovernmental Panel for Climate Change SRES higher, middle, and lower emission scenarios indicate that, over the 21st century, extreme heat events for major cities in heavily air-conditioned California will increase rapidly. These increases in temperature extremes are projected to exceed the rate of increase in mean temperature, along with increased variance. Extreme heat is defined here as the 90 percent exceedance probability (T90) of the local warmest summer days under the current climate. The number of extreme heat days in Los Angeles, where T90 is currently 95 F (32 C), may increase from 12 days to as many as 96 days per year by 2100, implying current-day heat wave conditions may last for the entire summer, with earlier onset. Overall, projected increases in extreme heat under the higher A1fi emission scenario by 2070-2099 tend to be 20-30 percent higher than those projected under the lower B1 emission scenario, ranging from approximately double the historical number of days for inland California cities (e.g. Sacramento and Fresno), up to four times for previously temperate coastal cities (e.g. Los Angeles, San Diego). These findings, combined with observed relationships between high temperature and electricity demand for air-conditioned regions, suggest potential shortfalls in transmission and supply during T90 peak electricity demand periods. When the projected extreme heat and peak demand for electricity are mapped onto current availability, maintaining technology and population constant only for demand side calculations, we find the potential for electricity deficits as high as 17 percent. Similar increases in extreme heat days are suggested for other locations across the U.S. southwest, as well as for developing nations with rapidly increasing electricity demands. Electricity response to recent extreme heat events, such as the July 2006 heat wave in California, suggests that peak electricity demand will challenge current supply, as well as future planned supply capacities when population and income growth are taken into account

Triage and diagnostic accuracy of Online Symptom Checkers: a systematic review

Background: In the context of a deepening global shortage of health workers, and particularly the COVID-19 pandemic, there is growing international interest in and use of online symptom checkers (OSCs). However, the evidence surrounding the safety and accuracy of OSCs remains inconclusive so far. The triage and diagnostic accuracy of these tools is an essential aspect that needs to be addressed before pushing any further implementation. Objective: This systematic review aimed to summarize the existing peer-reviewed literature evaluating the triage accuracy (directing users to appropriate services based on their presenting symptoms) and diagnostic accuracy of OSCs aimed at lay users for general health concerns. Methods: Searches were conducted in Medline, Embase, CINAHL, HMIC and Web of Science. We included peer-reviewed studies published in English between 1 January 2010 and 17 February 2022 with a quantitative assessment of triage and/or diagnostic accuracy of OSCs directed at lay users. We excluded tools supporting health professionals, and disease- or speciality-specific OSCs. Screening and data extraction were carried out independently by two reviewers for each study. We performed a descriptive narrative synthesis. Results: 21,284 studies were screened and 15 were included. Six studies reported on both triage and diagnostic accuracy, eight focused on triage accuracy, and one on diagnostic accuracy. Diagnostic and triage accuracy varied between studies and OSCs; most studies showed suboptimal diagnostic and triage accuracy. Frequency and urgency of the condition were the main variables that affected the levels of diagnostic and triage accuracy, along with specific features of the OSCs. The impact of each variable differed across tools and studies, making it difficult to draw any solid conclusions. Included studies had either a moderate or high risk of bias according to the revised tool for the Quality Assessment of Diagnostic Accuracy Studies 2. Conclusions: While OSCs have significant potential to provide accessible and accurate health advice and triage recommendations to users, more research is needed to validate their triage and diagnostic accuracy prior to wide scale adoption in community and healthcare settings. Future studies should aim to use a common methodology and/or agreed standard for evaluation to facilitate objective benchmarking and validation